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Medical Science Monitor Basic Research


Intraoperative Goal-Directed Anesthetic Management of the Patient with Severe Pulmonary Hypertension

Unusual or unexpected effect of treatment, Rare co-existance of disease or pathology

Jinhong Liu, Daniel A. Nahrwold, Andrew A. Serdiuk, Dave B. Koontz, Jacques-Pierre Fontaine

USA Department of Anesthesia, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA

Am J Case Rep 2019; 20:998-1001

DOI: 10.12659/AJCR.916330

Available online: 2019-07-11

Published: 2019-07-11


BACKGROUND: It is very challenging for anesthesiologists to manage patients with pulmonary hypertension undergoing general anesthesia for elective or emergent surgeries.
CASE REPORT: We present a patient with severe pulmonary hypertension going through a major robotic thoracic surgery.
CONCLUSIONS: A goal-directed anesthesia management algorithm based on serial stroke volume (SV) values obtained from FloTrac (Edwards Lifesciences, LLC.) minimally invasive arterial pressure sensor was utilized in an attempt to reduce the anesthetic and surgical risk associated with severe pulmonary hypertension.

Keywords: Hypertension, Pulmonary, one-lung ventilation, Stroke Volume, Thoracic Surgical Procedures